SOUTHEASTERN RADIOLOGY ASSOCIATES WIC
NPI 1861829681
Clinic/Center - Radiology, Mammography in Lumberton, NC

Active since October 11, 2013
105 W 27TH ST, LUMBERTON, NC 28358(910) 738-8222(910) 738-8175 Get Directions Write a Review

NPPES record last updated: October 11, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Southeastern Radiology Associates Wic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEASTERN RADIOLOGY ASSOCIATES WIC (NPI 1861829681) is a healthcare organization registered as a radiology, mammography in Lumberton, North Carolina and active in the NPI registry since October 2013. The organization lists Fordham B Britt, Director, as its authorized official.

NPPES Registry Identity

NPI1861829681
Entity TypeOrganization
Primary Taxonomy261QR0206X
Legal Business NameSOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Location Address105 W 27TH STLumberton, NC 28358-3014
Mailing Address2600 N Elm St # TLumberton, NC 28358-3011 · (910) 272-3051 · Fax (910) 738-3764
Fax(910) 738-8175
Organization SubpartNo
Authorized OfficialFordham B BrittDirector · (910) 671-5026
Enumeration DateOctober 11, 2013
✔ NPI 1861829681 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Radiology, MammographyAmbulatory Health Care Facilities
Taxonomy Code261QR0206X
License✔ Licensed in NC · H0064
105 W 27TH ST, Lumberton, NC 28358

Other Names 1

Doing Business AsSoutheastern Radiology Associates Wic

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeastern Radiology Associates Wic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

122

Medicare enrollment records show 122 clinicians reassign Medicare billing to Southeastern Radiology Associates Wic, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 62 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 21

Nurse Practitioner31
Family Practice19
Cardiovascular Disease (Cardiology)17
General Surgery8
Obstetrics/Gynecology8
Certified Nurse Midwife (CNM)6
Internal Medicine5
Hospitalist4
13 other specialties24

Nearest to this location (20)

See all 122
Internal Medicine
NPI 1043217656
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1780681015
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts MedicareSame address
Hospitalist
NPI 1538325642
395 W 27TH ST
Lumberton, NC 28358
(910) 739-7551
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1053461319
403 W 27TH ST
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1174218218
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Thoracic Surgery
NPI 1124108303
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS✔ Accepts Medicare0.1 mi
Pediatric Medicine
NPI 1952393225
300 W 27TH ST
Lumberton, NC 28358
(910) 671-5000
✔ PECOS0.1 mi
Cardiovascular Disease (Cardiology)
NPI 1245235506
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1053947150
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.3 mi
General Surgery
NPI 1629028576
2934 N ELM ST STE E
Lumberton, NC 28358
(910) 739-0022
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1497481824
2934 N ELM ST STE B
Lumberton, NC 28358
(910) 272-1175
✔ PECOS✔ Accepts Medicare0.3 mi
General Surgery
NPI 1285809475
2934 N ELM ST STE E
Lumberton, NC 28358
(910) 739-0022
✔ PECOS✔ Accepts Medicare0.3 mi
Cardiovascular Disease (Cardiology)
NPI 1831435494
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.3 mi
Nurse Practitioner
NPI 1962127837
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.3 mi
Cardiovascular Disease (Cardiology)
NPI 1780895599
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.3 mi
Family Practice
NPI 1518955269
3005 N ELM ST
Lumberton, NC 28358
(910) 738-7789
✔ PECOS✔ Accepts Medicare0.3 mi
Interventional Cardiology
NPI 1104302082
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.4 mi
Family Practice
NPI 1023017514
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS0.4 mi
Nurse Practitioner
NPI 1235680398
2936 N ELM ST STE 102
Lumberton, NC 28358
(910) 671-6619
✔ PECOS✔ Accepts Medicare0.4 mi
General Surgery
NPI 1467455493
2934 N ELM ST STE E
Lumberton, NC 28358
(910) 739-0022
✔ PECOS✔ Accepts Medicare0.4 mi
See all 122 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeastern Regional Physician Services's NPI number?

The NPI number for Southeastern Regional Physician Services is 1861829681. It was assigned to this organization in the NPPES registry on October 11, 2013. The provider is doing business as Southeastern Radiology Associates Wic.

Where is Southeastern Regional Physician Services located?

Southeastern Regional Physician Services is located at 105 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 738-8222.

What is Southeastern Regional Physician Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, Mammography, with taxonomy code 261QR0206X.

Is Southeastern Regional Physician Services enrolled in Medicare?

Yes. Southeastern Regional Physician Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeastern Regional Physician Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 122 clinicians in 21 Medicare specialties reassign their Medicare billing to Southeastern Regional Physician Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (31), Family Practice (19) and Cardiovascular Disease (Cardiology) (17). Of these, 4 practice at this address and 62 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeastern Regional Physician Services was last updated on October 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.